BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY PINNACLE ACETABULAR CUP, 52-MM

    MDR report key: 2973823 · Received February 16, 2013

    Report

    Report Number
    MW5029021
    Event Type
    Injury
    Date Received
    February 16, 2013
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    KWA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I UNDERWENT A TOTAL HIP REPLACEMENT ON (B)(6) 2005. I RECEIVED THE DEPUY PINNACLE ACETABULAR CUP, 52-MM. ABOUT 5 YEARS AFTER THE DATE OF IMPLANTATION, I BEGAN EXPERIENCING SEVERE PAIN THAT GOT PROGRESSIVELY WORSE UNTIL MY REVISION SURGERY ON (B)(6) 2011. THE PAIN SEVERELY LIMITED MY MOBILITY. I COULD NOT BEND, LIFT, USE STAIRWAY AND HAD DIFFICULTY WALKING. DIAGNOSIS OR REASON FOR USE: OSTEOARTHRITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    69993 DEPUY PINNACLE ACETABULAR CUP, 52-MM XETAL-ON-METAL HIP IMPLANT KWA DEPUY ORTHOPAEDICS, INC. UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R| S IN-PATIENT THERAPY, (B)(6) 2011